中医药治疗慢性心力衰竭临床疗效评价与思考

朱明军

doi:10.3969/j.issn.1006-2157.2023.07.003

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中医药治疗慢性心力衰竭临床疗效评价与思考

“中医药防治心血管疾病”专题 | 更新时间：2023-08-07

- 中医药治疗慢性心力衰竭临床疗效评价与思考
- Evaluation and consideration of the curative effects of traditional Chinese medicine in the treatment of chronic heart failure
- 北京中医药大学学报 2023年46卷第7期页码：902-907
- 作者机构：
  
  河南中医药大学第一附属医院　郑州　450046
- 作者简介：
  
  Prof. ZHU Mingjun, Ph. D., Chief Physician, Doctoral Supervisor. The First Affiliated Hospital of Henan University of Chinese Medicine, No.19, Renmin Road, Jinshui District, Zhengzhou 450046. E-mail: zhumingjun317@163.com
- 基金信息：
  
  国家重点研发计划项目(2019YFC1710000);国家自然科学基金项目(82074226;82030120)
- DOI：10.3969/j.issn.1006-2157.2023.07.003
  中图分类号： R259.416
- 收稿：2022-12-26，
  
  网络首发：2023-05-26，
  
  纸质出版：2023-07-30
- 稿件说明：
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朱明军. 中医药治疗慢性心力衰竭临床疗效评价与思考[J]. 北京中医药大学学报, 2023,46(7):902-907.

ZHU Mingjun. Evaluation and consideration of the curative effects of traditional Chinese medicine in the treatment of chronic heart failure[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(7): 902-907.
朱明军. 中医药治疗慢性心力衰竭临床疗效评价与思考[J]. 北京中医药大学学报, 2023,46(7):902-907. DOI： 10.3969/j.issn.1006-2157.2023.07.003.

ZHU Mingjun. Evaluation and consideration of the curative effects of traditional Chinese medicine in the treatment of chronic heart failure[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(7): 902-907. DOI： 10.3969/j.issn.1006-2157.2023.07.003.

摘要

中医临床疗效评价是目前中医学发展的热点，受到广泛的关注，科学、恰当地选择中医药防治慢性心力衰竭的疗效和安全性评价指标是本病临床疗效评价研究的难点。经过文献研究，本文将中医药治疗慢性心力衰竭的结局指标分为远期预后、客观检查指标、症状体征、生活质量、运动耐量、卫生经济学评估及安全性评价7个类别，并论述了其研究现状。研究发现，当前中医药治疗慢性心力衰竭结局指标的选择存在评价指标种类多样，无统一、规范的推荐选择标准，多个结局指标罗列，未能明确区分主要与次要结局指标，未能重视结局指标和生活质量评价，缺乏统一的中医临床疗效评价工具等多个问题。因此，需要建立统一、规范的慢性心力衰竭中医临床疗效评价工具，建立临床研究结局指标的选择与应用标准，并开展以结局指标为主要评价指标的高质量中医药治疗心力衰竭的临床研究，以获得国际认可的中医药循证医学证据。

Abstract

Evaluation of the clinical efficacy of traditional Chinese medicine (TCM) is a research hotspot in the development of TCM and an issue of widespread concern. Scientifically and appropriately selecting indicators to evaluate the efficacy and safety of TCM in the prevention and treatment of chronic heart failure is difficult. In this paper

the outcome indicators of TCM for chronic heart failure are divided into seven categories: long-term prognosis

objective inspection

symptoms and signs

quality of life

exercise tolerance

health economics

and safety. The current research status is also discussed. It is found that there are various types of outcome indicators to evaluate the treatment of chronic heart failure with TCM

and there are no unified and standardized recommended selection criteria

due to factors including the failure to clearly distinguish between primary and secondary efficacy indicators

failure to pay attention to outcome indicators and evaluate quality of life

and the lack of a unified TCM efficacy evaluation tool for symptoms. Therefore

it is necessary to establish a unified and standardized tool to evaluate the efficacy of TCM treatment of chronic heart failure

and the selection and application of standards for clinical research outcome indicators.This is necessary to perform high-quality clinical research on TCM treatment of heart failure with outcome indicator as the main evaluation indicator

and obtain internationally recognized evidence-based support for TCM.

关键词

Keywords

references

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